Provider Demographics
NPI:1003851403
Name:JEW, AMIE CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIE
Middle Name:CHRISTINA
Last Name:JEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10787 NALL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1329
Mailing Address - Country:US
Mailing Address - Phone:913-945-9400
Mailing Address - Fax:913-945-9410
Practice Address - Street 1:10787 NALL AVE STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1329
Practice Address - Country:US
Practice Address - Phone:913-945-9400
Practice Address - Fax:913-945-9410
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24576208600000X
MO103803208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSF62210Medicare UPIN
KS0007097BMedicare ID - Type Unspecified